【摘要】 目的 评价肺减容术(LVRS)治疗重度肺气肿的疗效、手术适应证选择及围手术期处理经验。方法 分析2003年9月～2005年10月6例重度肺气肿病人施行肺减容术的随访资料，6例均为单侧肺减容，其中3例为胸腔镜辅助小切口肺减容术，2例为经后外侧切口肺减容术，1例为胸腔镜(VATS)肺减容术。结果 LVRS术后FEV1平均提高47%，术后6～12个月，FEV1改善达高峰。手术死亡率为0，术后并发症发生率45%。结论 肺减容术能明显改善部分具有手术适应证的重度肺气肿病人的临床症状和生理状况。

    【关键词】 重度肺气肿； 肺减容术

    【Abstract】 objective To evaluate the mid-long term outcome of lung volume reduction surgery (LVRS)in patients with severe emphysema.Methods The follow-up date of 6 patients with severe emphysema underwent LVRS retrospectively between September 2003 to October 2005,the LVRS was performed unilaterally in 6 patients.Results The mean postoperative FEV1 increased by 47% in LVRS on exercise tolerance and lung function between 6 months to 1 year.The hospital mortality rate was 0%.The postoperative complication incidence was 45%.Conclusion LVRS provides significant clinical and physiological improvement for the majority of patients in a subset of patients with severe emphysema.

    【Key words】 severe pulmonary emphysema； LVRS

    肺气肿是一种进行性、致残性疾病 ......